Chemotherapy is standard treatment of most disseminated cancers, but dose-limiting toxicities and the emergence of cancer cells resistant to chemotherapeutic drugs often reduce the clinical benefit (
1). Cisplatin is one of the most effective chemotherapeutic agents against many forms of cancer including testicular, bladder, head and neck, ovarian, breast, lung, prostate, and refractory non-Hodgkin’s lymphomas (
2,
3). Indeed, cisplatin is used to treat 50% of all cancers (
4), and it exerts its antitumor effects by disrupting DNA structure in cell nuclei through the formation of intrastrand and interstrand cross-links (
5). Despite the ubiquitous use of cisplatin in oncology, this drug is associated with significant dose-limiting toxicities including nephrotoxicity and neurotoxicity. There is correspondingly a clear incentive to develop new strategies for safer and more effective cisplatin herapy. Our previous work demonstrated the benefits of aptamer-targeted polymeric nanoparticles (NPs) to deliver drugs when compared to equivalent nontargeted nanoparticles, or to drugs given in their conventional dosage form, by (
i) delivering a higher total fraction of drugs to tumors; (
ii) enhancing intracellular drug delivery through receptor mediated endocytosis; (
iii) enhancing anticancer efficacy in vitro and in vivo (
6–
8). More recently we described a platinum (Pt) (IV) prodrug, which, when delivered via targeted polymeric NPs, resulted in enhanced cytotoxicity in cell culture (
9). This construct was successfully directed to prostate cancer (PCa) cells in vitro by targeting the prostate specific membrane antigen (PSMA) on androgen-sensitive LNCaP human prostate adenocarcinoma cells (
9–
14). Controlled release NPs derived from poly(D,L-lactic-
co-glycolic acid)-
b-poly(ethylene glycol) (PLGA-
b-PEG) have a significantly prolonged circulation half-life when compared to similar particles lacking PEG (
15,
16). The hydrophobic Pt(IV) prodrug
c,
t,
c - [Pt(NH
3)
2(O
2CCH
2CH
2CH
2CH
2CH
3)
2Cl
2] (
1,
Scheme 1), which releases the more hydrophilic cisplatin after reduction of the Pt(IV) in the cells (
17–
20), also facilitated encapsulation of the compound in the hydrophobic core of PLGA-
b-PEG NPs. Surface functionalization of the PLGA-
b-PEG NPs with the A10 PSMA aptamer (Apt) (
7) allowed us to successfully target prostate cancer using Pt-PLGA-
b-PEG-Apt-NPs with superior efficacy compared to cisplatin administered in its conventional form (
9,
20).
Materials and Methods
Cisplatin was purchased from Strem Chemicals, Inc. The platinum(IV) prodrug,
c,
t,
c-[Pt(NH
3)
2(O
2CCH
2CH
2CH
2CH
2CH
3)
2Cl
2] (
9) was synthesized as previously described. Pt(IV)-encapsulated NPs were prepared by using the nanoprecipitation method. NHS, EDC, and hexanoic anhydride were purchased from Aldrich. PLGA with acid end groups was purchased from Adsorbable Polymers International. A PEG polymer of molecular weight 3,400 with a terminal amine and carboxylic group (NH
2-PEG-COOH) was custom synthesized (Nektar Therapeutics). The RNA aptamer with the sequence 5
′-NH
2-spacer GGGAGGACGAUGCGGAUCAGCCAUGUUUACGUCACUCCUUGUCAAUCCUCAUCGGCiT-3′ containing 2′-fluoro pyrimidines, a 3′-inverted T cap, and a 5′-amino group attached by a hexaethyleneglycol spacer was custom synthesized by RNA-TEC. AAS measurements were taken on a PerkinElmer AAnalyst 600 spectrometer. The NP size was obtained by quasielectric laser light scattering by using a ZetaPALS dynamic light-scattering detector (15 mW laser, incident beam = 676 nm, Brookhaven Instruments).
Animals.
All animals were obtained from Charles River Laboratory. The animals were allowed free access to sterile food pellets and water. All in vivo studies were performed in accordance with National Institutes of Health Animal Care guidelines.
Tumor Cells.
Androgen-sensitive human prostate adenocarcinoma LNCaP cells were obtained from American Type Culture Collection. Cells were cultured in RPMI medium 1640 (Invitrogen) with 10% fetal bovine serum, 2 mM glutamine, 50 units/mL penicillin, and 50 μg/mL streptomycin. Cells were routinely passed by treatment with trypsin (0.05%)/EDTA.
Evaluation of maximum tolerated dose.
Male Sprague Dawley rats and Swiss Albino mice were used to evaluate the MTD of Pt-PLGA-b-PEG-NPs and 1. All groups (n = 3) received a single dose by intravenous injection. Four groups of rats received either cisplatin or 1 at a dose of 5, 10, 20, or 40 mg/kg. Six groups of rats received Pt(IV)-loaded NPs, Pt-PLGA-b-PEG-NPs with a Pt content of 5, 10, 20, 40, 50, and 60 mg/kg. The control groups received saline or 100, 200, 400, 800, and 1,000 mg/kg of empty NPs. The injection volume was 2 mL in all cases. The weight and physical states of all the rats were monitored for a period of 10 d. For the MTD studies in Swiss Albino mice, five groups (n = 3) of mice were given a single intravenous injection of Pt-PLGA-b-PEG-NP with a Pt content of 1, 3, 5, 10, or 20 mg/kg. Control mice were treated with saline and 20, 60, 100, and 200 mg/kg of PLGA-b-PEG-NP.
Biodistribution and excretion study.
The blood persistence properties of Pt-PLGA-
b-PEG-NPs and
1 were determined using male Sprague Dawley rats weighing ∼300 g. The animals, three per group, were injected in the tail vein with 2 mL of Pt-PLGA-
b-PEG-NPs (40 mg/kg),
1 (20 mg/kg), or saline. At predetermined time intervals, blood samples were collected in preweighed heparinized tubes and centrifuged to get the plasma. The percentage of Pt was calculated by taking into consideration that blood constitutes 7% of body weight (
30) and plasma constitutes 55% of blood volume. The Pt content in blood and plasma were determined by AAS.
Collective urine samples were accumulated over 24 h and stored frozen until directly analyzed by flameless AAS. Tissue samples, however, required prior digestion in concentrated nitric acid. Gentle heating was required to complete the digestion. Following evaporation to near dryness, the digests were taken up in 1 N HCl (2 mL) and again heated to near dryness to remove excess nitric acid. After repeating this last stage with 0.1 N HCl (2 mL), the digests were dissolved in 1 mL of 0.1 N HCl for Pt analysis. The method permits estimation of total Pt metal in tissue samples, and no attempt was made to identify the chemical nature of Pt species present. WinNonlin v5.2.1 NCA model 201, IV bolus software was used to calculate the pharmacokinetic parameters.
In vivo anticancer efficacy evaluation.
Nude BALB/c mice (6–8 wk old, male, 20 to 30 g body weight) were purchased from the Charles River Laboratory and maintained under pathogen-free conditions. The animal use protocol was approved by the Institutional Animal Care and Use (MIT and BWH) Committees on animal care. The mouse LNCaP xenograft tumor model was developed by injecting 1 × 10
6 cells of a 0.1 mL LNCaP cell suspension into the right flank of a BALB/c mouse using 50% matrigel. Tumor nodules were allowed to grow to a volume ∼100 mm
3 before initiating treatment. Tumor-bearing BALB/c mice were randomly assigned to four groups. Tumor length and width were measured with calipers, and the tumor volume was calculated using the following equation:
Prior to treatment, all the mice were numbered using ear tags, and their weight and the initial tumor volume were measured and recorded. Test animals received two intravenous injections weekly at intervals of 3 or 4 d of (
i) saline (
n = 5), (
ii) cisplatin (1 mg/kg) (
n = 10), (
iii) PLGA-
b-PEG-Apt-NP (20 mg/kg) (
n = 5), and (
iv) Pt-PLGA-
b-PEG-Apt-NP (0.3 mg/kg) (
n = 10) formulation for four weeks, where
n is the number of mice in each group. The injection volume was 200 μL. The weight and tumor volume of each mouse were measured twice weekly over a period of 30 d.
Statistics
All data were expressed as mean ± SD. Differences between groups were assessed by the one-way ANOVA. P < 0.05 was considered as the statistical significance level.